by Lori | Jan 11, 2011 | Medicare payment basics
The Medicare conversion factor The Medicare conversion factor is a scaling factor that converts the geographically adjusted number of relative value units (RVUs) for each service in the Medicare physician payment schedule into a dollar payment amount. The initial...
by Lori | Jan 11, 2011 | Medicare payment basics
The formula for calculating the payment schedule The Omnibus Budget Reconciliation Act of 1989 (OBRA 89) geographic adjustment provision requires all three components of the relative value for a service—physician work relative value units (RVUs), practice expense...
by Lori | Oct 10, 2010 | Medicare payment basics
Relative Value Units (RVUs)Resource-based practice expenses relative value units (RVUs) comprise the core of physician fees paid under Medicare Part B payment policies. The CMS provides carriers with the fee schedule RVUs for all services except the following:Those...
by Lori | Aug 10, 2010 | Medicare payment basics
Relative Value Units1.New combined TTE/spectral Doppler/color Doppler (CPT 93306)CMS accepted the RUC’s recommendations for the work RVUs for both the new combined TTE/spectral Doppler/color Doppler code (93306). With respect to practice expense RVUs (PE-RVUs), CMS...
by Lori | Jul 12, 2010 | Medicare payment basics
Resource Based Relative Value Scale (RBRVS) The Center for Medicare and Medicaid Services (CMS, formerly HCFA) assigns each medical procedure a: 1) relative value reflecting the physician work involved in the service (work RVU), 2) relative value reflecting the...
